Provider Demographics
NPI:1437212636
Name:GOKLANEY, RAVI K (MD)
Entity Type:Individual
Prefix:
First Name:RAVI
Middle Name:K
Last Name:GOKLANEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 CALLOWAY DR
Mailing Address - Street 2:SUITE #601
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-2528
Mailing Address - Country:US
Mailing Address - Phone:661-589-1200
Mailing Address - Fax:661-589-7200
Practice Address - Street 1:3409 CALLOWAY DR
Practice Address - Street 2:SUITE #601
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93312-2528
Practice Address - Country:US
Practice Address - Phone:661-589-1200
Practice Address - Fax:661-589-7200
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA445842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF23012Medicare UPIN
CA00A445840Medicare ID - Type Unspecified